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DASS 21
Assessment: DASS-21
The DASS is a clinical assessment that measures the three related states of depression, anxiety and stress. there are no right or wrong answers; please do not spend too much time on each statement. The following 21 questions will take about 3 minutes to complete.
The rating scale is as follows:
0: Did not apply to me at all
1: Applied to me to some degree, or some of the time
2: Applied to me to a considerable degree, or a good part of time
3: Applied to me very much, or most of the time
Name
*
First
Last
1. I found it hard to wind down
0
1
2
3
2. I was aware of dryness of my mouth
0
1
2
3
3. I couldn't seem to experience any positive feeling at all
0
1
2
3
4. I experienced breathing difficulty (e.g., excessively rapid breathing, breathlessness in the absence of physical exertion)
0
1
2
3
5. I found it difficult to work up the initiative to do things
0
1
2
3
6. I tended to over-react to situations
0
1
2
3
7. I experienced trembling (e.g., in the hands)
0
1
2
3
8. I felt that I was using a lot of nervous energy
0
1
2
3
9. I was worried about situations in which I might panic and make a fool of myself
0
1
2
3
10. I felt that I had nothing to look forward to
0
1
2
3
11. I found myself getting agitated
0
1
2
3
12. I found it difficult to relax
0
1
2
3
13. I felt down-hearted and blue
0
1
2
3
14. I was intolerant of anything that kept me from getting on with what I was doing
0
1
2
3
15. I felt I was close to panic
0
1
2
3
16. I was unable to become enthusiastic about anything
0
1
2
3
17. I felt I wasn't worth much as a person
0
1
2
3
18. I felt that I was rather touchy
0
1
2
3
19. I was aware of the action of my heart in the absence of physical exertion (e.g., sense of heart rate increase, heart missing a beat)
0
1
2
3
20. I felt scared without any good reason
0
1
2
3
21. I felt that life was meaningless
0
1
2
3
This field is hidden when viewing the form
Depression
Normal ( 0-9 ) Mild ( 10-12 ) Moderate ( 13-20 ) Severe ( 21-27 ) Extremely severe ( 28-42 )
This field is hidden when viewing the form
Anxiety
Normal ( 0-6 ) Mild ( 7-9 ) Moderate ( 10-14 ) Severe ( 15-19 ) Extremely severe ( 20-42 )
This field is hidden when viewing the form
Anxiety: Normal
Normal ( 0-6 ) Mild ( 7-9 ) Moderate ( 10-14 ) Severe ( 15-19 ) Extremely severe ( 20-42 )
This field is hidden when viewing the form
Stress
Normal ( 0-10 ) Mild ( 11-18 ) Moderate ( 19-26 ) Severe ( 27-34 ) Extremely severe ( 35-42 )
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